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CVS Health Clinical Health Services Manager in Texas

Job Description

This role is work from home with the following hours: 8-5pm with on call weekend coverage required. Applicants must reside in a compact state.-Reinforces clinical philosophy, programs, policies and procedures. -Communicates strategic plan and specific tactics to meet plan. -Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. -Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. -Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. -Accountable for meeting the financial, operational and quality objectives of the unit. -May be accountable for the day-to-day management of teams for appropriate implementation and adherence with established practices, policies and procedures if there is not supervisor position -Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors. -Develop, initiate, monitor and communicate performance expectations. -May act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers. -Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills. -Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams. -Consistently demonstrates the ability to serve as a model change agent and lead change efforts. -Accountable for maintaining compliance with policies and procedures and implements them at the employee level. -Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes.

Required Qualifications

-Registered Nurse with active unrestricted compact state licensure -5+ years in clinical area of expertise.-1+ years of Managed Care experience

Preferred Qualifications

-Concurrent review preferred-3+ years Management experience


RN (BSN Preferred)

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.